Department of Rehabilitation, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200092, China.
Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongi University School of Medicine, Shanghai, China.
Syst Rev. 2024 Feb 12;13(1):64. doi: 10.1186/s13643-024-02455-x.
Chronic ankle instability (CAI) is a common yet serious problem for elder patients. This meta-analysis aimed to evaluate the effects of balance training for CAI, to provide evidence for the clinical treatment, and care of CAI patients.
Two investigators searched PubMed, EMBASE, Science Direct, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wanfang, and Weipu Databases up to May 20, 2023, for randomized controlled trials (RCTs) on the effects of balance training for CAI. The mean difference (MD) with 95% confidence intervals (95%CIs) was calculated for each outcome with a fixed or random effect model. Review Manager 5.3 software was used for meta-analysis.
Nine RCTs involving 341 patients were included. Meta-analysis results showed that compared with blank controls, balanced training treatment of CAI could significantly improve the score of CAI [MD = 3.95, 95% CI (3.26, 4.64), P < 0.00001], SEBT-PM [MD = 4.94, 95% CI (1.88, 8.00), P = 0.002], SEBT-PL [MD = 5.19, 95% CI (1.57, 8.81), P = 0.005], and FAAM Sports [MD = 17.74, 95% CI (14.36, 21.11), P < 0.00001]. Compared with strength training, balance training treatment of CAI improved the score of CAIT [MD = 2.36, 95% CI (0.29, 4.44), P = 0.03], FAAM-ADL [MD = 4.06, 95% CI (1.30, 6.83), P = 0.004].
The analysis outcomes indicate that balance training enhances daily activity capability, motor function, and dynamic balance to different extents. Additionally, when comparing the results of balance training and strength training, no significant difference was observed between the two methods in improving the dynamic stability of CAI patients. However, it is noteworthy that balance training exhibits a more pronounced impact on enhancing functional scale scores.
慢性踝关节不稳（CAI）是老年患者常见且严重的问题。本荟萃分析旨在评估平衡训练对 CAI 的影响，为 CAI 患者的临床治疗和护理提供证据。
两名调查员检索了PubMed、EMBASE、Science Direct、Web of Science、Cochrane 图书馆、中国知网、万方和维普数据库，检索时间截至 2023 年 5 月 20 日，以获取关于平衡训练对 CAI 影响的随机对照试验（RCT）。使用固定或随机效应模型计算每个结局的均数差值（MD）及 95%置信区间（95%CI）。使用 Review Manager 5.3 软件进行荟萃分析。
纳入 9 项 RCT，共 341 例患者。荟萃分析结果显示，与空白对照相比，平衡训练治疗 CAI 可显著提高 CAI 评分[MD=3.95，95%CI（3.26，4.64），P<0.00001]、SEBT-PM[MD=4.94，95%CI（1.88，8.00），P=0.002]、SEBT-PL[MD=5.19，95%CI（1.57，8.81），P=0.005]和 FAAM 运动[MD=17.74，95%CI（14.36，21.11），P<0.00001]。与力量训练相比，平衡训练治疗 CAI 可改善 CAIT 评分[MD=2.36，95%CI（0.29，4.44），P=0.03]和 FAAM-ADL[MD=4.06，95%CI（1.30，6.83），P=0.004]。
分析结果表明，平衡训练在不同程度上提高了患者的日常活动能力、运动功能和动态平衡能力。此外，在比较平衡训练和力量训练的结果时，两种方法在改善 CAI 患者的动态稳定性方面没有显著差异。然而，值得注意的是，平衡训练对提高功能量表评分的影响更为显著。
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